Shopping on a Calorie Budget

I have a pretty steady diet of the things that I like to eat when losing weight, so I’m sharing what I buy here along with some simple and fast recipes for on the go. These foods currently supplement the Nutrisystem diet I’m on, but can be used anytime, regardless.

My local Smith’s Market has most of the items I’m listing below. Smith’s is a Kroger market, so depending on where you live, Kroger includes City Market, Dillons, Fred Meyer, Fry’s, King Soopers, QFC, Ralphs, Harris Teeter, Smith’s Food and Drug, and Kroger Supermarkets.

I also recommend Costco for a good portion of items. Costco has a great selection of top-quality produce, and carries the deli-sliced turkey and bacon crumbles I use.  I love coffee, so that also gets purchased here as well.

Shopping List:


Turkey Wrap – 175 cals

  • 1 – Ole Mexican Foods – Xtreme Wellness Tortilla Wrap (50 cals)
  • 104 g – Turkey Breast (100 cals)
  • Pico De Gallo
  • Shredded Lettuce
  • 1 Tbsp – Bolthouse Ranch Yogurt Dressing (25 cals)

Use 1 tortilla wrap – add 104 g (approx 6 slices of deli cut) turkey breast and as much pico de gallo and lettuce as you like.  Add Bolthouse dressing to complete. Roll and eat away.


Morning Egg Wrap – 182/190 cals

  • 1 Large Brown Egg (70 cals)
  • 2 Tbsp Tomatillo Salsa, or Green Enchilada Sauce (10 cals)
  • 52 g Turkey Breast (50 cals), or  14 g Bacon Crumbles (60 cals) (choose one but not both)
  • 1 – Ole Mexican Foods – Xtreme Wellness Tortilla Wrap (50 cals)

Mix the egg and tomatillo salsa in a microwave-safe bowl.  Microwave on high for approximately 50 seconds.  Use a fork to remove the egg and place on tortilla.  Add turkey or bacon crumbles, then wrap and run.


Maple-Caramel Latte,  16 0z – 101 cals

  • 1 cup Simple Truth Organic Fat Free Milk (80 cals)
  • 1 cup Water (as little or as much as desired)
  • 1 Tbsp Instant Coffee (or more if you like strong coffee/rocket fuel)
  • 1 Tbsp Lakanto Maple Flavored Syrup (21 cals)
  • 1 Tbsp Torani Sugar-Free Classic Caramel Syrup

Combine milk and water, then heat on high in a microwave for 1:30 minutes.  Add the instant coffee and syrups.  Mix (I either shake or blend to make it frothy) and pour into your favorite coffee mug.  Perfect for the season and upcoming cooler days.


Lunch Salad – 125/165 cals

  • Taylor Farms Mediterranean Crunch Chopped Salad (salad only – don’t add the feta, pita chips or dressing packets)
  • Cherry Tomatoes, sliced
  • 104 g Turkey Breast (100 cals), or  28 g Bacon Crumbles (120 cals) (choose one but not both)
  • 1-2 Tbsp BoltHouse Yogurt Dressing (25-45 cals)

The key here is to get your veggies in – these aren’t only good for you, but will help to make you feel full.  Add as much salad and tomatoes as you like, but stick to the plan for the rest of the stuff.  Mix in a large salad bowl and get ready to munch down.


Snacks

Any one of these snacks will keep you in the sub 250 calorie range:

  • Yogurt + 1 Med. Apple, 2 Mandarins, or 1 Med Banana
  • 1 Med. Apple + 1 Tbsp Peanut Butter
  • Cherry Tomatoes or Carrots + 2 Tbsp Bolthouse Dressing
  • Kirkland Signature Nut Bar

 

Nutrisystem Again, But Not Again

So a sort of perfect storm occurred, and I’m suddenly subscribed to a Nutrisystem meal plan.  It started when I received a small spot bonus at work, which I initially planned to use for a new cordless hedge trimmer at Lowes.  After that order was initially delayed, then delayed forever, I decided to look around to decide where to spend all that sweet moolah.

A couple of days later, I was shopping at the happiest place on earth where a perfect storm took place.  In front of me was the gift card display, and on a big sign it announced that the Nutrisystem $100 gift cards were on sale for $55 after instant rebate.  My brain started clicking.

Back in 2008 I had enrolled in Nutrisystem and had a lot of success using their meal plan to lose weight.  Say what you will about food-in-a-box diet plans, this one had worked for me.  After losing 30 pounds I  started running and was able to keep losing weight on a normal diet, and eventually got down to 195 (I had started at 265).  By then I had run a couple of marathons and several half-marathons, and was looking good, even if I couldn’t walk down the stairs in the mornings because of all the running.  Whatever. I digress.  Bottom line is that the meal plan worked for me.

Weight loss progression from November 2008 when I was 274 lbs, to April 2010 when I ran the Salt Lake City Marathon and weighed 195 lbs.

So here’s what I was thinking – with my cool spot bonus money combined with the Costco discounted gift cards, I could purchase a 28-day supply of Nutrisystem.  And that’s exactly what I did.

For anyone who has wondered, this is what 4 weeks (24 days) of Nutrisystem food looks like when it arrives

My 4 week update: I’ve lost about 20 pounds (starting weight 264.1 current weight 245.5)

There are several cautions that I want to raise:

  • Nutrisystem has a sneaky penalty for subscribers:  If you purchase a 28-day supply using their discounted subscription pricing, you effectively commit to receiving at least one more order from them, or face having a $125 penalty assessed for cancelling before the second order is processed.  There was no indication of this on the Costco site where I purchased from (you can check the Nutrisystem Terms and Conditions shown for the product here). I realized this as my order was being placed online… and that’s certainly not when you want to learn about a hidden cost.  I was able to mitigate the problem by going back to Costco and purchasing another month’s worth of gift cards.
  • Nutrisystem now advertises and sells what it calls a 28 day plan, but the reality is that you only receive meals for 24 days, not 28.  Why is this, you might ask? The answer is what they call a Flex Meal.  Here’s what they say: “While on Nutrisystem, you’ll get to enjoy flex meals and snacks – one breakfast, one lunch, one dinner and two snacks each week on your own.” That’s an inconvenient way to describe how they short your order for 4 days worth of food on that 28-day meal plan (and yes, they are truly shorting your order, and there is a term for it: shrinkflation. It’s the practice of reducing a product’s size while maintaining its price so that consumers unknowingly pay the same for less – see this BBC Article The Food You Buy Really is Shrinking).
  • Prices for Nutrisystem have gone way, way up and they deliver a lot less at the same time.  Because I was a recurring customer starting in 2008 I have access to the orders I placed then, and can compare them to what I’m purchasing now.  Here’s a comparison:
      Nov 2008: 4 weeks + 1 week free, male $277.99 (no discount)
      Nov 2011: 35 day program, male $259.99 (no discount)
      Aug 2013: 4 weeks + 1 week free, male $259.99 ($65 discount)
      Sep 2017: 4 weeks (technically 24 days), male $384.29 ($133.07 discount)
      Oct 2017: 4 weeks (technically 24 days), male $414.29 ($103.07 discount)
    That “discount” is a complete joke, because their prices have gone from roughly $7.94 per day for meals in 2008 (and only $7.43 per day in 2013), to $17.26 per day for meals in 2017… and that’s not considering what they consider their pre-discounted price.  That’s a 217% increase in cost.
  • Order processing is late; often later than you’d expect. My first recent order took 1 week to process.  My second recent order (keep in mind that it was a subscription/automatic order) was supposed to process 6 days ago. It bugs me just a little bit that a customer service agent told me it was waiting to be picked up by FedEx on Friday, but on the following Monday I receive confirmation that a tracking number was created (still no record of it in the system).  Did the agent lie? How would FedEx pick up an order that still had no shipping label created?  I now have a gap in the Nutrisystem diet because I’ve effectively run out of food from the first order.  Keep in mind that my prior orders in 2008, 2011 and 2013 always processed in one day.  According to their customer service, their official processing and shipping time is (now) 4-10 business days.
  • Customer Service is a soothe-sayer, and they aren’t great at placating.  That problem you’re contacting them about isn’t really a problem; it’s a feature of the program, or it’s their interpretation.  As an example, when I contacted them about the late second order I was told “With the way our auto-delivery system works, we weren’t scheduled to begin processing you(r) order until [order date].” Silly me.  I thought that with the order in their system for weeks, they could actually have planned to ship (or deliver) the order on the date indicated.
  • You have to call to cancel their Auto-Delivery program.  Even though you can order, edit and even delay your order online, the one thing you can’t do is cancel the order… which only makes sense if Nutrisystem plans to talk someone out of cancelling the service. According to the forum support topics How do I cancel my plan? and Can I customize, cancel or delay my auto-delivery order?, you MUST call to cancel the auto-delivery service. The best part? If you already paid and are due a refund, it can take up to 8 weeks to refund your money.

Once the second order finally ships, I’m placing the call to cancel any future auto-delivery with Nutrisystem (update: I’m now waiting to see whether an adjustment comes through from a comment/exchange about the two  orders with the Counseling Support team. This one has me stymied because it doesn’t make sense how the refund was calculated, but it’s to my benefit so I shouldn’t complain). Yes I’ve lost weight;  but the problems of cost/value, bad customer practices and poor customer service are enough to leave a bad taste in my mouth (and I’ll end with that pun).

Nov 5 update: Based on a Nutrisystem email invite to do so, I posted a review on consumeraffairs.com, which you can find here. Nutrisystem has responded, and we’re talking privately following the public exchange.  The product itself is great, however it’s the policies, pricing and t&c’s that I can’t wrap my head around. I truly don’t understand how the price can go up so significantly but see service levels drop so much at the same time, while the terms of placing an order have to be regarded carefully because commitments are required when none existed before. 

Reality Sets In

After 1 year I don’t have a routine down for my Type 2 Diabetes and Low Testosterone diagnosis.  I don’t sleep well. I’m constantly tired. I’m depressed. I think my doctor’s suck because with them it’s all about tests and prescribing medicine. There’s no discussion about lifestyle, and as much as I’d personally like to think it’s just eat less and run more to fix everything, it’s not.

Ultimately the best chance I have is to lose weight because it can reverse the diabetes and possibly remedy the other issue of low testosterone (which can be caused by type 2 diabetes).

So, the recipe seems to be take my medicine, eat right and exercise more. Only it’s not that simple.  This is about pushing past the depression and lethargy, and making a habit out of a lifestyle change.  It’s about a schedule that overrides other schedules, and in fact cutting things out in order to make room for the things that are becoming a priority.  It’s about finding motivation when there isn’t any.  It’s about learning new ways of doing things that I’ve done my entire life, and yes – I know it’s going to suck for a while.

It’s all about the plan, isn’t it?

When I checked my blood glucose this morning it was 191.  I hadn’t been testing recently and decided to do so.  It was a stark reminder to get my shit together.

 


Targets

Normal Blood Glucose
Fasting
Normal for person without diabetes: 70–99 mg/dl (3.9–5.5 mmol/L)
Official ADA recommendation for someone with diabetes: 80–130 mg/dl (4.5–7.2 mmol/L)

2 Hours after Meals
Normal for person without diabetes: Less than 140 mg/dl (7.8 mmol/L)
Official ADA recommendation for someone with diabetes: Less than 180 mg/dl (10.0 mmol/L)

HbA1c
Normal for person without diabetes: Less than 5.7%
Official ADA recommendation for someone with diabetes: 7.0% or less

Blood Pressure
120/70 blood pressure goal


Medications

  • Metformin 500mg (Rx) – 2 pills twice daily to improve blood sugar control
  • Loperamide Hydrochloride 2mg (OTC) – 2 pills twice daily as an Anti-Diarrheal because hey, Metformin
  • Victoza 1.2mg (Rx) – inject once daily to stimulate insulin production
  • Lisinopril 5mg (Rx) – 1 pill daily for blood pressure
  • Testosterone 50mg/5g gel – 1 tube topically once daily for depression (which I have) and libido (which I have none)
  • B12 Natures Bounty 2500mcg (OTC) – 1 pill daily
  • Taurine Solgar 500mg (OTC) – 1 pill daily for stress, blood pressure
  • Rhodiola Solaray 500mg (OTC) – 1 pill daily for stress

Equipment

  • OneTouch Verio Blood Glucose Meter
  • OneTouch Verio Test Strips
  • Unistik Travel Lancets AT1048/Comfort, or OneTouch Delica Lancets
  • NovoFine Plus 32G Disposable Needle 32Gx4mm (1/6″)

 

MIRL

Meal Prepping: A Prescription for the Kitchen

It’s true that half the battle takes place in the kitchen.  One of my favorite local running stores offers a simple weight loss plan written on a board in the back of the store: “eat less and run more“.  If the weight isn’t coming off, then eat less and run more.  It may be overly simplistic, but the basic tenant is true: manage your caloric intake and get regular exercise commensurate with your health and you will see results.

I’ve mentioned before that I’m a reddit fan, and I recently came across a post in the r/MealPrepSunday sub reddit that linked to a blog hosted by a medical student’s foray into meal prepping.  It has some really practical advice on setting up your kitchen, and includes some great, simple recipes that you can use to plan and create your own breakfast, lunch and dinner meals.

Remember that this is part of becoming a better version of you.  It’s time to start improving your health, your body, and your mind.

rollins-lifetime-quote

Check it Out: Prescription for the Kitchen: The Adventures of a Medical Student Taking a Bit of Her Own Medicine: Replacing Fast Food with Home Cooking

#WorldHealthDay 2016 – Focus on Diabetes

April 7 is World Health Day, and the World Health Organization’s focus in 2016 is on curbing the rising trend of Diabetes‬. In the US the Center for Disease Control estimates that almost 22 million adults in America were diagnosed with Diabetes in 2014. In 2015 I joined those ranks. Although my diagnosis was a wake up call, it explained symptoms I had struggled with, and it also gave me a path to recovery.

For anyone diagnosed with Type 2 Diabetes medication is critical, but it’s important to know that lifestyle changes including weight loss and exercise can often help control the disease. Two of the best things you can do are to learn more about what you eat, and to engage (now, not down the road) in a more active lifestyle. One of the most important steps you can make is to spend more time taking care of yourself by planning meals and dedicating time to an active program.

  • Step outside for 30 minutes during your day.
  • Find something you can be passionate about, then find out a way to be active in it.
  • Spend an hour each week to learn how to cook again.
  • Plan your meals, and your trip to the grocery.

But back to me again: It was on a particularly hot day last summer that I walked out of my local grocery store with a Bai5 Tanzania Lemonade Tea. From a dietary standpoint one of the biggest challenges has been to restructure how I eat. I look more closely at nutrition labels. I’m looking for more natural foods with fewer ingredients. I’m looking for new foods and healthy alternatives that replace things I enjoy, but which I know aren’t healthy. I’m a huge Arnold Palmer fan, but I had just found its 5 calorie doppleganger.

I’m trying to learn how to stop making myself “responsible” for things that are outside my direct control, and focus more on living a life that is worth living. Bai is my new trick to help me maintain my blood-sugar levels while still enjoying a great tasting variety of flavors.